Provider Demographics
NPI:1689713042
Name:FRANK, JOEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:J
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1851 E 1ST ST STE 1250
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-4077
Mailing Address - Country:US
Mailing Address - Phone:714-972-0306
Mailing Address - Fax:714-972-9162
Practice Address - Street 1:1851 E 1ST ST STE 1250
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4077
Practice Address - Country:US
Practice Address - Phone:714-972-0306
Practice Address - Fax:714-972-9162
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG34950103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic